[The significance of various hematological parameters for the early diagnosis of bacterial infections in premature and full-term neonates. 3. Discussion of the study results].
Haematological examinations may contribute, especially by repeated investigations of parameters changing dynamically, to a greater safety of decisions concerning the beginning or termination of chemotherapy in neonates with suspected infections. We recommend to check the blood count every 6-12 h in such cases. A normal blood count does not exclude a sepsis but haematological changes may precede clinical symptoms for hours. We can confirm the good experiences of some authors with "screening-scores" to detect early infants with sepsis. Such a score should include I/T-Quotient, thrombocyte count, CRP and micro-ESR. This contributes to a greater predictive probability of an infection.
Alexejew
B
B
Klinik für Kindermedizin des Bereichs Medizin, Karl-Marx-Universität Leipzig.
Handrick
W
W
Braun
W
W
Domula
M
M
Winiecki
P
P
D001424:Bacterial Infections / Q000097:blood*; D001772:Blood Cell Count; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000097:blood*; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity; D013997:Time Factors
Untersuchungen zur Bedeutung einiger hämatologischer Parameter für die Früherkennung bakterieller Infektionen bei Früh- und Neugeborenen. 3. Diskussion der Untersuchungsergebnisse.